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Spachmann, Philipp J. ; Radlmaier, Maximilian ; Denzinger, Stefan ; Burger, Maximilian ; Breyer, Johannes ; Otto, Wolfgang ; Schnabel, Marco J. ; Vergho, Daniel

Recurrent Cystitis in Women—A Real-World Analysis of Bacteria Spectrum and Resistance Situation for Calculated Therapy

Spachmann, Philipp J., Radlmaier, Maximilian, Denzinger, Stefan, Burger, Maximilian, Breyer, Johannes , Otto, Wolfgang, Schnabel, Marco J. und Vergho, Daniel (2024) Recurrent Cystitis in Women—A Real-World Analysis of Bacteria Spectrum and Resistance Situation for Calculated Therapy. Antibiotics 13 (9), S. 890.

Veröffentlichungsdatum dieses Volltextes: 18 Sep 2024 13:13
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.59226


Zusammenfassung

Recurrent cystitis in women represents an everyday challenge; however, little to no data regarding this population are available. This study aimed to evaluate this collective with respect to a rational calculated antibiotic therapy. Urine cultures and antibiograms from a urological office were retrospectively evaluated from patient data collected between January 2017 and June 2019. The evaluation ...

Recurrent cystitis in women represents an everyday challenge; however, little to no data regarding this population are available. This study aimed to evaluate this collective with respect to a rational calculated antibiotic therapy. Urine cultures and antibiograms from a urological office were retrospectively evaluated from patient data collected between January 2017 and June 2019. The evaluation was conducted using SPSS ©. In total, 84 female patients, who were aged between 18 and 87 years old (median 60 years), suffered from recurrent cystitis. Escherichia coli was found in 53.9% of cases, Staphylococcus aureus and enterococci were each found in 6.7%, and Proteus spp. and Streptococcus agalactiae were each found in 5.6%. The resistance levels to ciprofloxacin (CIP), trimethoprim–sulfamethoxazole (TRS), nitrofurantoin (NIT), and nitroxoline (NOX) were 18.2%, 30.7%, 16.1%, and 12.5% in the tested cases, respectively. Regarding E. coli, resistance to CIP, TRS, and NIT was found in 17.8%, 25%, and 4.2% of the tested cases, and no resistance to NOX was found. The resistance level to CIP was in a tolerable range of <20% in the overall cohort and the E. coli subgroup. More than a quarter of the bacteria were resistant to TRS. The low resistance rates for NIT and NOX are remarkable, promoting the use of these substances if they are not yet used.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftAntibiotics
Verlag:MDPI
Band:13
Nummer des Zeitschriftenheftes oder des Kapitels:9
Seitenbereich:S. 890
Datum16 September 2024
InstitutionenMedizin > Lehrstuhl für Urologie
Identifikationsnummer
WertTyp
10.3390/antibiotics13090890DOI
Stichwörter / Keywordsurinary tract infection; recurrent cystitis; antibiotic resistance; antibiotic stewardship; calculated antibiosis
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-592267
Dokumenten-ID59226

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